- Cardinal Health (Santa Fe, NM)
- …companies (ex. Blue Cross, Blue Shield, IPA, etc). Reporting to the Director of Managed Care , the Manager of Contracting is responsible for managing ... **_What Managed Care contributes to Cardinal Health_**...other activity as it relates to payer interaction. The Manager of Payor Contracting is responsible for reviewing, auditing… more
- Molina Healthcare (Las Cruces, NM)
- …is an Equal Opportunity Employer (EOE) M/F/D/V. \#PJHPO Key Words: Medicare, Medicaid, Managed Care , Manager , Leader, Marketing, Duals, Enroll, Enrollees, ... **Molina Healthcare** is hiring for a ** Manager of Growth & Community Engagement** in southern...years' experience in business development, community relations or health care related activities. + 3 years Managed -… more
- Molina Healthcare (Roswell, NM)
- …QUALIFICATIONS:** + At least 6 years of experience as a Business Analyst or Program Manager in a Managed Care Organization (MCO) or health plan setting, ... integrity issues, and process gaps. + Applies understanding of healthcare regulations, managed care claims workflows, and provider reimbursement models to shape… more
- Hilton (Santa Fe, NM)
- …franchised Hilton hotels world\-class revenue management talent and tools\. As a Revenue Manager , RMCC, Managed , you will support the team that's helping hotels ... grow market share and outperform competitors\. On the Managed team reporting to the Assistant Director, you will...savings account, an employee assistance program, access to a care coordination program \("Wellthy"\), a legal services program, an… more
- Molina Healthcare (Santa Fe, NM)
- …years of experience in a pharmacy, Medication Therapy Management (MTM), Pharmacy Benefit Manager (PBM), and/or managed care setting, or equivalent combination ... Contributes to overarching pharmacy strategy for optimization of medication related health care outcomes, and quality cost-effective member care . **Essential Job… more
- Indeed (Albuquerque, NM)
- …policy, and many region-specific benefits. **Benefits - Health, Work/Life Harmony, & Wellbeing** We care about what you care about. We have a multitude of ... benefits to support Indeedians, as well as their pets, kids, and partners including medical, dental, vision, disability and life insurance. Indeedians are able to enroll in our company's 401k plan, as well as an equity-based incentive program. Indeedians will… more
- Molina Healthcare (Rio Rancho, NM)
- …* At least 8 years clinical systems experience, preferably as a product owner / manager within a managed care , nursing informatics or health care ... implementation, and oversight of technology that drives core utilization management, care management, long-term services and supports (LTSS), clinical operations and… more
- Molina Healthcare (Las Cruces, NM)
- …Qualifications** * At least 3 years of experience in a pharmacy, Pharmacy Benefit Manager (PBM), formulary, and/or managed care setting, and 1-2 years ... team (ICT). * Works with the Pharmacy Benefit Manager (PBM) to manage formulary changes and update marketing...Qualifications** * Medicare Part D and/or Medicaid experience. * Managed care experience. To all current Molina… more
- Health Care Service Corporation (Magdalena, NM)
- …of operations within 90 days of hire. + Plus 3 years' wellness or managed care experience presenting clinical issues with members/physicians. + Knowledge of the ... **Job Summary** This position is responsible for to provide care coordination to members via telephonic and/or field-based ...care coordination to members via telephonic and/or field-based care management to inform and educate them on health… more
- Health Care Service Corporation (Albuquerque, NM)
- …or LVN, LPN and 1 year of related experience or 3 years of equivalent experience in managed care , a state care coordination or waiver program. + Knowledge of ... your professional development. **Job Summary** This position is responsible to provide care coordination to members via telephonic and/or field-based care … more